Healthcare Provider Details

I. General information

NPI: 1972920759
Provider Name (Legal Business Name): SKIN AND BEAUTY CENTER (SBC), INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 08/24/2023
Certification Date: 08/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9535 RESEDA BLVD SUITE 304
NORTHRIDGE CA
91324-2310
US

IV. Provider business mailing address

PO BOX 840853
LOS ANGELES CA
90084-0853
US

V. Phone/Fax

Practice location:
  • Phone: 818-886-3884
  • Fax: 818-886-5418
Mailing address:
  • Phone: 877-822-2223
  • Fax: 818-842-3208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. PAYAM SAADAT
Title or Position: OWNER
Credential: M.D.
Phone: 323-857-0777